NPI: 1376291674 · CANOGA PARK, CA 91303 · 335E00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 85 | $6K |
| 2023 | 106 | $4K |
| 2024 | 1,000 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4239 | Non-adju cgm supply allow | 173 | 162 | $11K |
| K0553 | Ther cgm supply allowance | 85 | 79 | $6K |
| L1820 | Ko elas w/ condyle pads & jo | 361 | 188 | $5K |
| L2387 | Add le poly knee custom kafo | 268 | 140 | $3K |
| L3761 | Eo, adj lock joint prefab ot | 77 | 77 | $3K |
| L1971 | Afo w/ankle joint, prefab | 111 | 61 | $2K |
| L0627 | Lo sag ri an/pos pnl pre cst | 83 | 83 | $1K |
| E2103 | Non-adju cgm receiver/mon | 17 | 16 | $530.82 |
| L0180 | Cer post col occ/man sup adj | 16 | 16 | $22.96 |